Medicine an Surgery notes

Apr 24th, 2015
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REPAIR OF RUPTURED UTERUS-Review for indications.-Review operative care principles (page C-47) and start an IV infusion (page C-21).-Give a single dose of prophylactic antibiotics (page C-35):-ampicillin 2 g IV;-OR cefazolin 1 g IV.-Open the abdomen:-Make a midline vertical incision below the umbilicus to the pubic hair, through the skin and to the level of the fascia;-Make a 2-3 cm vertical incision in the fascia;-Hold the fascial edge with forceps and lengthen the incision up and down using scissors;-Use fingers or scissors to separate the rectus muscles (abdominal wall muscles);-Use fingers to make an opening in the peritoneum near the umbilicus. Use scissors to lengthen the incision up and down

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